Organization
THOMAS JEFFERSON UNIVERSITY HOSPITAL, DEPARTMENT OF NEUROSURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA MARY DEFAMIO CRNP (NURSE PRACTITIONER)
(856) 343-7796
Entity
Organization
Contact information
Practice address
909 WALNUT ST, PHILADELPHIA, PA 19107-5211
(215) 955-7008
Mailing address
2609 ATLANTIC AVE APT 1, LONGPORT, NJ 08403-1200
(856) 343-7796
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009243
CRNP PRESCRIPTIVE AUTHORITY
PA
Enumeration date
07/13/2009
Last updated
07/13/2009
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